Putting “Affordable” Back in the Affordable Care Act

In the last five years, much of the press coverage and analysis of healthcare has been dominated by politics, doctor-patient relationship disruption, sticker shock, and legalities swept in by the Affordable Care Act (ACA). Those are important, but the efficacy and the cost of treatment are ultimately most important. The great majority of medical treatment […]

ACA Is a Crisis We Must not Waste

Under the Affordable Care Act (ACA), premium subsidies of health care insurance are available to low income and some moderate income families.  ACA’s plain wording says the subsidies are available to states that operate their own exchange.  ACA was intentionally structured in that way to induce states to operate a health insurance exchange. Subsidies are […]

Patients Role in $1 Trillion in Annual Costs

A widely reported study of the Milliman Medical Index estimates that the typical family of four covered by employer-provided health insurance in a preferred provider organization (PPO) will spend almost $25,000 for health coverage and services in 2015.  That includes premiums paid by employer and employee, as well as all the out of pocket costs. […]

Savings from a Trillion in Health Costs

Some of the government decisions that push Americans toward the brink of sanity are in healthcare policies that can and should be reversed.  With forethought and some political courage, better health policies can be adopted that allow consumers to make better arrangements and save substantially.  The following opportunities call for smarter government policies – they […]

Health Care Cost Increases – The Question is How Fast?

Rapid advances in health care treatments may help us live longer and healthier lives. For that to come true, we will have to afford the treatments. Today that is a stretch and affordability may diminish as time passes. The cost burden for health care is already astronomical and there are few promising strategies for cost […]

Stratospheric Drug Prices Are Curable

Most of American’s activity is focused on work, education, entertainment, and social interactions. Some exercise intentionally to maintain their health and some get healthful exercise through their employment, but it’s unlikely that much of our attention is focused on health care.  One sixth of our economy is tied to health care, but we can remain […]

ACA versus Miracle Healthcare Treatments

If doctors and patients take advantage of the steady stream of miracle treatments that restore function or save lives, the tab will be hideous. Can Medicare, Medicaid and The Affordable Care Act (ACA) accommodate these costly treatments, or will government decide on some “sacrifices” to be made? Some organ transplants such as; heart ($658,000), lung, […]

A Welcomed Primary Care Provider

The scheduling delay for a routine appointment with one of America’s 210,000 primary care doctors seems to be measured in weeks, even when the doctor’s practice is already the patient’s medical home.  New patient appointments often take six weeks.  For a good ophthalmologist, 2 or three months seems to be a normal wait.  Medical care […]

ACI in Pittsburgh Gazette: PA’s Heavy Hand in Private Contracts

Imagine an instance where McDonald’s was mandated to purchase fries from Burger King – or GM was required to buy auto parts from Ford. Intuitively and economically, this does not make sense. Yet, that is exactly what the legislature is trying to do in Pennsylvania. The two parties in question though do not make fries […]

ACA versus Miracle Healthcare Treatments

If doctors and patients take advantage of the steady stream of miracle treatments that restore function or save lives, the tab will be hideous.  Can Medicare, Medicaid and The Affordable Care Act (ACA) accommodate these costly treatments, or will government decide on some “sacrifices” to be made? Some organ transplants such as; heart ($658,000), lung, […]